National engagement provides interested parties with an opportunity to comment on draft documents to ensure that the content reflects the collective expertise and experience of the whole community. The National Association of State Emergency Medical Services Officials (NASEMSO) is soliciting feedback on revised portions contained in the 2007 National EMS Scope of Practice Model (“Practice Model”.) The challenge facing the EMS community including regulators is to develop a system that establishes national standards for personnel licensure and their minimum competencies while remaining flexible enough to meet the unique needs of state and local jurisdictions.

Over the past 12 months, a Subject Matter Expert Panel has solicited public comment and updated the 2007 document that will guide an upcoming revision to the National EMS Education Standards.  It is important to note that the Expert Panel was tasked to define “entry level” expectations: minimum requirements between education and experience to ensure national consistency— in other words, completion of educational requirements but not yet having (supervised or individual) work experience at the levels of an Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), or Paramedic.  Although some regions already exceed the Practice Model where coordination between the State and EMS Medical Director has determined that an experienced practitioner with proper education and oversight can safely serve the local needs and health of the public, the Expert Panel determined that increasing the Practice Model to the level of an experienced practitioner for the entire nation would create an unsustainable burden in time and expense to programs and individuals without substantial benefit. 

The 2007 version of the National EMS Scope of Practice Model is available for viewing at  The Draft 3 revision is available at 

Thank you very much for your participation!!

* 1. Contact info for person completing this form.

* 2. Your primary EMS position (if multiple categories apply, please choose BEST answer.)

* 3. USA Region

* 4. Does the current draft reasonably reflect the needs and expectations for entry level EMS personnel? (Completion of educational requirements but not yet having supervised or individual work experience.)

* 5. Please enter any additional comments here.